Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Associations Between Body Anthropometric Measures and Severity of Carpal Tunnel Syndrome (2016) |
Auteurs : | Mauro Mondelli ; Stefania Curti ; Stefano Mattioli |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2016/9, 2016) |
Article en page(s) : | pp. 14561464 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Facteurs de risque ; Obésité ; Rééducation et réadaptation ; Syndrome du canal carpien |
Mots-clés: | Carpal tunnel syndrome ; Obesity ; Risk factors |
Résumé : |
Objective To assess the associations between carpal tunnel syndrome (CTS) severity and selected anthropometric and obesity indexes. Design We performed a case-control study. Clinical and electrophysiological severity of CTS was classified as mild, moderate, or severe based on validated scales. Body and hand anthropometric characteristics were measured at the time of the electrodiagnostic study. We estimated the relative risk ratios (RRRs) of CTS severity by fitting multinomial logistic regression models adjusted by age and sex. In addition, we fitted multivariable models, including age, sex, wrist ratio, hand ratio, body mass index (BMI), and waist/stature ratio. Setting Electromyography laboratories. Participants Consecutive patients (N=1087), those with CTS (n=340) and those without CTS (n=747), were enrolled. Interventions Not applicable. Main Outcome Measures Associations between CTS severity and selected anthropometric and obesity indexes. Results We observed associations between many anthropometric indexes and CTS severity. Among obesity indexes, the waist/stature ratio, and among hand anthropometric indexes, the wrist/palm ratio, showed the highest RRRs for the clinical and electrophysiological severity scales. The RRRs of severe CTS (adjusted for age and sex) for the wrist/palm ratio were 3.5 for the clinical scale and 2.4 for the electrophysiological scale. The RRRs of severe CTS for the waist/stature ratio were 2.3 for the clinical scale and 2.0 for the electrophysiological scale. In the multivariable models, both BMI and the waist/stature ratio were associated with the outcomes. Conclusions Different configurations of the body and, in particular, the hand and wrist system may influence the occurrence and severity of CTS. Multiple obesity indexes, possibly including the waist/stature ratio, should be considered when investigating the association between body composition and CTS. Future studies should determine whether in obese subjects with CTS the weight and waist circumference loss produces an improvement in CTS symptoms and recovery of distal conduction velocity of the median nerve. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S000399931630079X |